PMID- 23737213 OWN - NLM STAT- MEDLINE DCOM- 20131101 LR - 20220321 IS - 1098-2264 (Electronic) IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 52 IP - 8 DP - 2013 Aug TI - Novel YAP1-TFE3 fusion defines a distinct subset of epithelioid hemangioendothelioma. PG - 775-84 LID - 10.1002/gcc.22073 [doi] AB - Conventional epithelioid hemangioendotheliomas (EHE) have a distinctive morphologic appearance and are characterized by a recurrent t(1;3) translocation, resulting in a WWTR1-CAMTA1 fusion gene. We have recently encountered a fusion-negative subset characterized by a somewhat different morphology, including focally well-formed vasoformative features, which was further investigated for recurrent genetic abnormalities. Based on a case showing strong transcription factor E3 (TFE3) immunoreactivity, fluorescence in situ hybridization (FISH) analysis for TFE3 gene rearrangement was applied to the index case as well as to nine additional cases, selected through negative WWTR1-CAMTA1 screening. A control group, including 18 epithelioid hemangiomas, nine pseudomyogenic HE, and three epithelioid angiosarcomas, was also tested. TFE3 gene rearrangement was identified in 10 patients, with equal gender distribution and a mean age of 30 years old. The lesions were located in somatic soft tissue in six cases, lung in three and one in bone. One case with available frozen tissue was tested by RNA sequencing and FusionSeq data analysis to detect novel fusions. A YAP1-TFE3 fusion was thus detected, which was further validated by FISH and reverse transcription polymerase chain reaction (RT-PCR). YAP1 gene rearrangements were then confirmed in seven of the remaining nine TFE3-rearranged EHEs by FISH. No TFE3 structural abnormalities were detected in any of the controls. The TFE3-rearranged EHEs showed similar morphologic features with at least focally, well-formed vascular channels, in addition to a variably solid architecture. All tumors expressed endothelial markers, as well as strong nuclear TFE3. In summary, we are reporting a novel subset of EHE occurring in young adults, showing a distinct phenotype and YAP1-TFE3 fusions. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Antonescu, Cristina R AU - Antonescu CR AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. antonesc@mskcc.org FAU - Le Loarer, Francois AU - Le Loarer F FAU - Mosquera, Juan-Miguel AU - Mosquera JM FAU - Sboner, Andrea AU - Sboner A FAU - Zhang, Lei AU - Zhang L FAU - Chen, Chun-Liang AU - Chen CL FAU - Chen, Hsiao-Wei AU - Chen HW FAU - Pathan, Nursat AU - Pathan N FAU - Krausz, Thomas AU - Krausz T FAU - Dickson, Brendan C AU - Dickson BC FAU - Weinreb, Ilan AU - Weinreb I FAU - Rubin, Mark A AU - Rubin MA FAU - Hameed, Meera AU - Hameed M FAU - Fletcher, Christopher D M AU - Fletcher CD LA - eng GR - R01 CA152057/CA/NCI NIH HHS/United States GR - P01CA47179/CA/NCI NIH HHS/United States GR - P50 CA 140146-01/CA/NCI NIH HHS/United States GR - P01 CA047179/CA/NCI NIH HHS/United States GR - P50 CA140146/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20130605 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Basic Helix-Loop-Helix Leucine Zipper Transcription Factors) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Phosphoproteins) RN - 0 (TFE3 protein, human) RN - 0 (Transcription Factors) RN - 0 (YAP-Signaling Proteins) RN - 0 (YAP1 protein, human) SB - IM MH - Adaptor Proteins, Signal Transducing/*genetics MH - Adolescent MH - Adult MH - Base Sequence MH - Basic Helix-Loop-Helix Leucine Zipper Transcription Factors/*genetics MH - Female MH - Gene Rearrangement/genetics MH - Hemangioendothelioma, Epithelioid/diagnosis/*genetics/pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kidney Neoplasms/*genetics/pathology MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics/isolation & purification MH - Phosphoproteins/*genetics MH - Sequence Analysis, RNA MH - Transcription Factors MH - Translocation, Genetic/genetics MH - YAP-Signaling Proteins PMC - PMC4089994 MID - NIHMS585490 COIS- Conflict of interest: none EDAT- 2013/06/06 06:00 MHDA- 2013/11/02 06:00 PMCR- 2014/07/09 CRDT- 2013/06/06 06:00 PHST- 2013/04/15 00:00 [received] PHST- 2013/04/22 00:00 [accepted] PHST- 2013/06/06 06:00 [entrez] PHST- 2013/06/06 06:00 [pubmed] PHST- 2013/11/02 06:00 [medline] PHST- 2014/07/09 00:00 [pmc-release] AID - 10.1002/gcc.22073 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2013 Aug;52(8):775-84. doi: 10.1002/gcc.22073. Epub 2013 Jun 5.